Organization
CORE PT LLC
Active
Other names
Gindi Home Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GINDI (PHYSICAL THERAPIST)
(732) 660-5422
Entity
Organization
Contact information
Practice address
1776 AVENUE OF THE STATES STE 301, LAKEWOOD, NJ 08701-4592
(732) 660-5422
(732) 362-4497
Mailing address
11 ELINORE AVE, LONG BRANCH, NJ 07740-4824
(732) 660-6422
(732) 362-4497
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
40QA01714600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041097
LICENSE#
NY
01
—
40QA01714600
LICENSE#
NJ
Enumeration date
02/01/2017
Last updated
10/25/2021
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